TAYISHA D WALLACE
Chiropractic at 25 Ave, Saint Petersburg, FL

License number
Florida 8044
Issued Date
Oct 26, 2009
Effective Date
Apr 19, 2012
Expiration Date
Mar 31, 2012
Category
Health Care
Type
Registered Chiropractic Assistant
Address
Address
4650 25Th Ave S, Saint Petersburg, FL 33711
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Tayisha D Wallace
972 Jordan Park St S, Saint Petersburg, FL 33712
Tayisha Wallace, age 80
13436 La Place Cir, Tampa, FL 33612
Tayisha Wallace, age 80
1541 University Woods Pl, Tampa, FL 33612
Tayisha Wallace, age 80
2501 Emerson Ave S, Saint Petersburg, FL 33712
Tayisha D Wallace, age 47
4650 25Th St, St Petersburg, FL 33711
(727) 327-7629

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